IndividualActive
Timothy Gardner, LPN
NPI 1043672165 · Pediatric Skilled Nursing Facility · Brooklyn, NY
Provider details
- NPI number
- 1043672165
- Entity type
- Individual
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 324886 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1485 E 34th St
Brooklyn, NY 11234-2601
Phone: (347) 913-9447
Approximate (ZIP-level) locationGet directions
Mailing address
1485 E 34th St
Brooklyn, NY 11234-2601
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2016-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.